Individual provider Active NPI

Luis Ahumada, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1275490310
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026901 Issued in PA
Practice address
3621 Aramingo Ave Ste 5C
Philadelphia, PA 19134-4607
Phone
(215) 444-7472
NPI assigned
Jan 9, 2026
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW026901 PA Primary

Addresses

Primary practice location

3621 Aramingo Ave Ste 5C
Philadelphia, PA 19134-4607

Mailing address

PO Box 746722
Atlanta, GA 30374-6722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127001263 PA Practitioner - Clinical Social Worker 1658858188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW026901PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - PA Physicians Group, PC Clinical CurrentSince Dec 23, 2025 Accepting new patients

Locations

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

3621 Aramingo Ave
Ste 5C
Philadelphia, PA 19134
Phone (215) 444-7472

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1275490310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 ARAMINGO AVE STE 5C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344607",
            "telephone_number": "215-444-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUMADA",
        "first_name": "LUIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.